A nurse on a pediatric unit is caring for four children.
The nurse should use droplet precautions for which of the following children?
A school-age child who has viral conjunctivitis.
A preschool-age child who has pediculosis capitis.
A toddler who has seasonal influenza.
An adolescent who has hepatitis A
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Viral conjunctivitis does not require droplet precautions as it is primarily spread through direct contact with eye secretions.
Choice B rationale
Pediculosis capitis (head lice) does not require droplet precautions as it is spread through direct contact with infested hair or personal items.
Choice C rationale
Seasonal influenza requires droplet precautions as it is spread through respiratory droplets when the infected person coughs, sneezes, or talks.
Choice D rationale
Hepatitis A does not require droplet precautions as it is primarily spread through the fecal-oral route. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
A digoxin level of 1.2 ng/mL is within the therapeutic range (0.8 to 2 ng/mL) for toddlers receiving digoxin therapy. This level does not require a revision of the plan of care.
Choice B rationale
An apical pulse of 100/min is within the normal range for toddlers. Digoxin therapy requires monitoring of the heart rate, but this pulse rate does not necessitate a change in the plan of care.
Choice C rationale
A potassium level of 4.0 mEq/L is within the normal range (3.4 to 4.7 mEq/L) for toddlers. This electrolyte level does not require a revision of the plan of care.
Choice D rationale
Vomiting is a potential sign of digoxin toxicity. A toddler who has vomited 2 times in the last hour may be experiencing digoxin toxicity, and the plan of care should be revised to address this issue. .
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Enuresis (bedwetting) is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.
Choice B rationale
Kyphosis (curvature of the spine) is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.
Choice C rationale
Facial twitching is a priority finding as it may indicate a neurological complication or electrolyte imbalance, which requires immediate attention and intervention.
Choice D rationale
Constipation is not an immediate concern in a child with sickle cell anemia and does not require urgent reporting to the provider.
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